{% extends "base.html" %}
{% block breadcrumb %}
<a href="/applicant/home">Home</a>
{% endblock %}

{% block content %}
<div>
  <h1>Upload Document To Case: {{ case.address|e }}</h1>
</div>

<form action={{ upload_url }} method="POST" enctype="multipart/form-data">
Purpose:
<input type="text" name="purpose">
<br/>
Notes:
<textarea name="notes" rows=5 cols=40></textarea>
<br/>
Upload File:
<input type="file" name="file">
<br/>
<input type="submit" name="submit" value="Submit">
</form>

{% endblock %}
